Impact of the national protocol for malaria treatment on prescribing patterns in Gezira state, Sudan

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Abstract

A cross-sectional study to assess the impact of the national protocol for malaria treatment was conducted in a town in Gezira state, central Sudan, in 2001. Most of the 165 doctors and medical assistants interviewed [‎80.0%]‎ had not been trained in the protocol and many [‎57.5%]‎ were still using their own protocols. Analysis of 410 prescriptions showed chloroquine was the most common antimalarial drug used [‎69.5% of prescriptions]‎. Compared with a study before implementation of the protocol, more prescriptions met the protocol st and ards for correct chloroquine dose, whereas regimens for administration of intravenous quinine were still inadequate. The study showed a lack of continuous supervision, training and follow-up in the protocol guidelines and negative attitudes of hospital specialists towards the protocol